Organization
NORTHWEST GEORGIA FAMILY PRACTICE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN E. SPIVEY JR. M.D. (OWNER)
(706) 857-5402
Entity
Organization
Contact information
Practice address
68 STOCKADE RD, SUMMERVILLE, GA 30747-1900
(706) 857-5402
(706) 857-1800
Mailing address
PO BOX 409, SUMMERVILLE, GA 30747-0409
(706) 857-5402
(706) 857-1800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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